In March of 2001, just one month before my surgery, I sent Dr. Eppley a 3 minute video of myself simulating the facelift effect I wanted by lifting with thumbs and forefingers, the areas just below and behind the earlobes at the angle of the jaw and preauricular area in line with the eye. This "lifting" with my fingers in an UPWARD, vertical or cephalid vector, produced the desired effect on the lower face, in particular, the platysma, and lifted the severe laxity from the previous surgery, accentuating a high hyoid position. My neck has always been long and slender, and until the first signs of platysmal banding appeared in my last 40's, I always had a well defined cervicomental angle. The lifting with forefingers in the preauricular area created a bunching of skin at the outer aspect of the eye, and correcting this would involve an extended lower blephroplasty incision, which Dr. Eppley and I discussed during our meeting in February, 2001. Remember, I flew out to meet with him BEFORE sending this video, the purpose of which was to further clarify the goals of the operation and make certain we were both "on the same page", to use one of his favorite expressions. I think it is evident that I am not placing an inordinate amount of tension on my face, however, I AM LIFTING UPWARD, which I expected Dr. Eppley to do in my operation. The post op pictures are also stills taken from a video, and show the cervicomental angle as MORE OBTUSE, not improved. Dr. Eppley actually SHORTENED the platysma and pulled the SMAS in a vector lateral and slightly DOWNWARD. He also "folded" or plicated the excess SMAS which appears to be sagging skin in my pre-op photos, but was actually laxity of both skin AND SMAS, which was "blown out" by the excessive swelling after the rhinoplasty, in which edema tracked along the path of least resistance, i.e., the insufficiently healed facelift dissection planes. Aside from the obviously "thicker" neck and the pulling downward of my jaw from the downward tension of Dr. Eppley's face "lift" (?), nearly 2 years after this surgery, the tension pulling downward on the auricular cartilage, to which he fixed the SMAS, (though he denies this, it is evident) continues to cause worse pain than it did even one year ago. If, as Dr. Eppley's e-mail response regarding this video indicates, he did, indeed, understand the necessity for lifting the skin and SMAS in APPROPRIATE vectors of tension, why did he do something so predictably injurious and INAPPROPRIATE as this? Why? His operative report states that I never had a previous platysma plication, yet he went in through the OLD INCISION from Dr. Driscoll's platysma plication and had a copy of this op report. This is only one error in a long list of Dr. Eppley's thoughtless misdeeds which resulted in changing an aesthetic problem with good chance for correction, to an irreversible surgical disaster that has left me suffering excruciating pain every day since the day her operated on me, inability to have any kind of normal facial animation whatsoever, turning an already strange countenance into physically painful and grotesque contortions with the slightest facial expression. Deafness, tinnittus,.. Dr. Eppley's operation makes what happened at MGH seem like a picnic in comparison.
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